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目的 探讨经尿道电汽化术 (TUVBt)治疗浅表性膀胱移行细胞癌的疗效。方法 总结 1997年 9月～ 2 0 0 1年 10月应用TUVBt治疗浅表性膀胱移行细胞癌 2 4例的经验。结果 2 4例肿瘤均一次切除 ,手术时间 4 0～ 6 0min ,平均 5 0min。 3例膀胱穿孔。术后长期用丝裂霉素C膀胱内灌注预防复发 ,总有效率为79.2 %。随访 12月～ 6 0个月 ,平均 36个月 ,复发 5例 (2 0 .8% )。结论 TUVBt术创伤小、视野清晰 ,汽化深度可靠 ,术后并发症低。
Objective To investigate the efficacy of transurethral electrovaporization (TUVBt) in the treatment of superficial bladder transitional cell carcinoma. Methods From September 1997 to October 2001, TUVBt was applied to treat 24 cases of superficial bladder transitional cell carcinoma. Results Twenty-four cases of tumors were resected at one time. The operation time was 40-60 min with an average of 50 min. 3 cases of bladder perforation. Postoperative long-term mitomycin C intravesical instillation to prevent recurrence, the total effective rate was 79.2%. All cases were followed up for 12 months to 60 months, with an average of 36 months and 5 cases (20.8%) of patients relapsed. Conclusion TUVBt has the advantages of less trauma, clear vision, reliable vaporization depth and low postoperative complications.